Cost and Potential Savings of Electronic Consultation and Its Relationship with Reduction in Atmospheric Pollution

Background: Telemedicine has been incorporated into daily clinical practice. The purpose of this paper is to evaluate the economic impact of electronic consultation as a means of referring patients between Primary Care (PC) services and the referral Cardiology Service (CS) of a tertiary hospital, in...

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Autores principales:	Daniel Rey Aldana, Francisco Reyes Santias, Pilar Mazón Ramos, Manuel Portela Romero, Sergio Cinza Sanjurjo, Belén Álvarez Álvarez, Rosa Agra Bermejo, Francisco Gude Sampedro, José R. González-Juanatey
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	electronic practice efficiency economic impact health system Environmental effects of industries and plants TD194-195 Renewable energy sources TJ807-830 Environmental sciences GE1-350
Acceso en línea:	https://doaj.org/article/54751b19bf704a138b40c2c259da3b92
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spelling	oai:doaj.org-article:54751b19bf704a138b40c2c259da3b922021-11-25T19:01:04ZCost and Potential Savings of Electronic Consultation and Its Relationship with Reduction in Atmospheric Pollution10.3390/su1322124362071-1050https://doaj.org/article/54751b19bf704a138b40c2c259da3b922021-11-01T00:00:00Zhttps://www.mdpi.com/2071-1050/13/22/12436https://doaj.org/toc/2071-1050Background: Telemedicine has been incorporated into daily clinical practice. The purpose of this paper is to evaluate the economic impact of electronic consultation as a means of referring patients between Primary Care (PC) services and the referral Cardiology Service (CS) of a tertiary hospital, in particular, the cost of reduced air pollution. Methods: The direct and indirect costs associated with all the interconsultations between PC and a CS of a tertiary hospital were analyzed under a universal single act model versus a prior e-consultation model that selected patients who would later attend the single-act consultation. The cost of pollution from private motor vehicle travel by road has been analyzed with a Cobb–Douglas cost function. Results: The total cost per patient, including the costs associated with death, represented a saving in the model with e-consultation of 25.6%. The economic value for the reduction of contamination would be EUR 12.86 per patient. Conclusions: The introduction of e-consultation in the outpatient management of patients referred from PC to a CS, helps to reduce direct and indirect costs for the patient and the Health Care System. The cost of pollution associated with the trips explains the total cost to a greater extent, except for the first face-to-face consultation.Daniel Rey AldanaFrancisco Reyes SantiasPilar Mazón RamosManuel Portela RomeroSergio Cinza SanjurjoBelén Álvarez ÁlvarezRosa Agra BermejoFrancisco Gude SampedroJosé R. González-JuanateyMDPI AGarticleelectronic practiceefficiencyeconomic impacthealth systemEnvironmental effects of industries and plantsTD194-195Renewable energy sourcesTJ807-830Environmental sciencesGE1-350ENSustainability, Vol 13, Iss 12436, p 12436 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	electronic practice efficiency economic impact health system Environmental effects of industries and plants TD194-195 Renewable energy sources TJ807-830 Environmental sciences GE1-350
spellingShingle	electronic practice efficiency economic impact health system Environmental effects of industries and plants TD194-195 Renewable energy sources TJ807-830 Environmental sciences GE1-350 Daniel Rey Aldana Francisco Reyes Santias Pilar Mazón Ramos Manuel Portela Romero Sergio Cinza Sanjurjo Belén Álvarez Álvarez Rosa Agra Bermejo Francisco Gude Sampedro José R. González-Juanatey Cost and Potential Savings of Electronic Consultation and Its Relationship with Reduction in Atmospheric Pollution
description	Background: Telemedicine has been incorporated into daily clinical practice. The purpose of this paper is to evaluate the economic impact of electronic consultation as a means of referring patients between Primary Care (PC) services and the referral Cardiology Service (CS) of a tertiary hospital, in particular, the cost of reduced air pollution. Methods: The direct and indirect costs associated with all the interconsultations between PC and a CS of a tertiary hospital were analyzed under a universal single act model versus a prior e-consultation model that selected patients who would later attend the single-act consultation. The cost of pollution from private motor vehicle travel by road has been analyzed with a Cobb–Douglas cost function. Results: The total cost per patient, including the costs associated with death, represented a saving in the model with e-consultation of 25.6%. The economic value for the reduction of contamination would be EUR 12.86 per patient. Conclusions: The introduction of e-consultation in the outpatient management of patients referred from PC to a CS, helps to reduce direct and indirect costs for the patient and the Health Care System. The cost of pollution associated with the trips explains the total cost to a greater extent, except for the first face-to-face consultation.
format	article
author	Daniel Rey Aldana Francisco Reyes Santias Pilar Mazón Ramos Manuel Portela Romero Sergio Cinza Sanjurjo Belén Álvarez Álvarez Rosa Agra Bermejo Francisco Gude Sampedro José R. González-Juanatey
author_facet	Daniel Rey Aldana Francisco Reyes Santias Pilar Mazón Ramos Manuel Portela Romero Sergio Cinza Sanjurjo Belén Álvarez Álvarez Rosa Agra Bermejo Francisco Gude Sampedro José R. González-Juanatey
author_sort	Daniel Rey Aldana
title	Cost and Potential Savings of Electronic Consultation and Its Relationship with Reduction in Atmospheric Pollution
title_short	Cost and Potential Savings of Electronic Consultation and Its Relationship with Reduction in Atmospheric Pollution
title_full	Cost and Potential Savings of Electronic Consultation and Its Relationship with Reduction in Atmospheric Pollution
title_fullStr	Cost and Potential Savings of Electronic Consultation and Its Relationship with Reduction in Atmospheric Pollution
title_full_unstemmed	Cost and Potential Savings of Electronic Consultation and Its Relationship with Reduction in Atmospheric Pollution
title_sort	cost and potential savings of electronic consultation and its relationship with reduction in atmospheric pollution
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/54751b19bf704a138b40c2c259da3b92
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_version_	1718410402133442560

Cost and Potential Savings of Electronic Consultation and Its Relationship with Reduction in Atmospheric Pollution

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